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General NPI Number Information
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NPI Number | 1659744886
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Entity Type | Organization
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Legal Business Name | TAMAR MAGNAS, M.D. PC
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 11 E 86TH ST STE 1B
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City | NEW YORK
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State | NY
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Zip | 10028-0501
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Country | US
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Telephone | 917-796-6476
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Fax |
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Provider Business Mailing Address
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Address Line | 11 E 86TH ST STE 1B
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City | NEW YORK
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State | NY
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Zip | 10028-0501
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Country | US
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Telephone | 917-796-6476
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAMAR ELANA MAGNAS
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Credential | M.D.
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Telephone | 917-796-6476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 228900
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License Number State | NY
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